JAMES EDWARD LUCKEY (NPI# 1265858765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265858765 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD LUCKEY |
| Credential | M.D. |
| Practice Address |
4701 Covington Rd Suite 18 Fort Wayne IN 46804-5072 |
| Practice Telephone | 2604324727 |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2014-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 01018073C | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319324 | James Thomas Luckey IIi | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2015-02-25 |
| Street Address |
4701 COVINGTON RD SUITE 18 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811324411 | Willliam Richard Hall | Anesthesiology | 8721 Fortuna Way, Fort Wayne, IN 46815-5724 | 2013-09-27 |
| 1760542468 | Three Rivers Anesthesia, LLC | Anesthesiology | 7956 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2006-12-11 |
| 1588746838 | Andrea Waingold | Anesthesiology | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | 2006-10-19 |
| 1487755534 | Kathryn Carboneau | Anesthesiology | 11115 Pine Bank Ct, Fort Wayne, IN 46845-1839 | 2006-09-25 |
| 1497788848 | Il-sung Kwak | Anesthesiology | 2222 Timberbrook Trl, Fort Wayne, IN 46845-9530 | 2006-07-09 |
| 1760427686 | Andrzej S. Waskiel | Anesthesiology | 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | 2006-06-17 |
| 1992745806 | Muhammod Ahmad | Anesthesiology | 1942 E Dupont Rd Ste A, Fort Wayne, IN 46825-1582 | 2006-06-08 |
| 1346212487 | Glenn Batiller | Anesthesiology | 11518 Tillbury Cv, Fort Wayne, IN 46845-2138 | 2006-02-03 |
| 1457336539 | Jun Wang | Anesthesiology | 10351 Dawsons Creek Blvd, Ste D, Fort Wayne, IN 46825-1904 | 2005-12-12 |
| 1457359598 | Susan A Nasri | Anesthesiology | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2005-07-12 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.